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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380504134
Report Date: 01/16/2026
Date Signed: 01/16/2026 10:19:10 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/14/2026 and conducted by Evaluator John Calandra
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20260114150933
FACILITY NAME:JULIE'S CARE HOMEFACILITY NUMBER:
380504134
ADMINISTRATOR:CHAE, JULIEFACILITY TYPE:
740
ADDRESS:1363 - 5TH AVENUETELEPHONE:
(415) 566-4527
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94122
CAPACITY:14CENSUS: 7DATE:
01/16/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Erlinda Averico, Caregiver and Sarah Chu, Administrator TIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident was only allowed to bathe once per week resulting in a skin infection
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/16/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to open this complaint. LPA Calandra was greeted by Erlinda Averico, Caregiver and explained the purpose of the visit. Sarah Chu, Administrator arrived later during the visit.

Complaint alleged that resident, R1 was only allowed to bathe once per week resulting in a skin infection. According to the Administrator and staff, R1 receives two showers per week and the skin infection on R1's leg developed during a recent stay at the hospital. Based on interviews, it is unknown how the skin infection developed.

LPA collected the following documents at the facility: LIC 602 for R1, Appraisal of Needs and Services for R1, recent discharge notes, and shower schedule for residents.

Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted. This report was reviewed with facility representative and a copy provided.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: John Calandra
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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